Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Foot Center PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1063630291

Ambulatory Foot Center PC is a Foot & Ankle Surgery Podiatrist in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1619 NW Hawthorne Ave Ste 110
Grants Pass, OR 97526-6008
Phone: (541) 471-7056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00291 (OR)

Record details

NPI number1063630291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Simchuk — Excutive Officer · (541) 471-7056
NPI enumeratedApril 23, 2007
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address1619 Nw Hawthorne Ave, Ste 110, Grants Pass, OR 97526-6008

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